Individual
TARA KEENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
140 OLD WILLOW MILL RD, MECHANICSBURG, PA 17050-1816
(717) 766-4635
(717) 766-4818
Mailing address
500 UNIVERSITY DR, MC CA410, HERSHEY, PA 17033-2360
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP014584
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102996011
—
PA
Enumeration date
12/24/2014
Last updated
05/23/2025
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